Clinical Coding Specialist – Medical Records & Billing

SEHA; Abu Dhabi; On-site; AED 180,000 - 240,000; Full time

Job summary

SEHA Abu Dhabi seeks a Clinical Coding Officer to review medical records, abstract data, and assign accurate diagnostic and E&M codes in line with established coding guidelines. You will ensure accurate coding, support pre-authorization, and collaborate with clinicians, coders, and billing teams.

Applicants should possess a Bachelor’s in Health Information Management or a Diploma with experience; a Master’s or equivalent is desired.

Qualifications

• Bachelor Degree in Health Information Management or relevant field with or Diploma with 3 years of additional experience in Healthcare
• Master degree or equivalent in Health Information Management or relevant field
• Diploma in relevant field

Responsibilities

• Reviewing and analyzing patient medical records to ensure all applicable patient data is available for coding
• Abstracting pertinent information from patient records and assigning the relevant codes
• Assigning appropriate codes for pre-authorization purpose.
• Reviewing and assigning appropriate E&M’s codes based on Clinician’s documentation available in medical records, to ensure proper re‑imbursement for the facility.
• Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes
• Contacting the department/section or clinic and obtaining copies of additional documentation
• Ensuring accurate coding and sequencing as specified by established coding principles and guidelines, following the clinical coding system
• Allocating the appropriate and specific codes from the indexing system and assigning the codes for completing coding summary of the medical records
• Reviewing and auditing medical claims to ensure accuracy, compliance with payer guidelines, coding and billing standards, and organizational policies.
• Assisting with the preparation of medical records for the quality assurance and medical audit purposes by providing the coding data
• Validating that encoded information is reported with most accurate information Regulatory requirements
• Timely analysis, notification and completion of medical records as per the facilities chart completion policies and procedures, regulatory and accreditation standards.
• Reporting defaulters to the Senior Clinical Coding Officer for further actions.as per the facilities policy and procedures.
• Reviewing and confirmation of assigned codes for resubmissions & denials for re‑imbursement needs, pertaining to coding errors.
• Collaborate with coders, billers, physicians, and operational teams to resolve claim-related issues.
• Staying current with the clinical coding system through publications, seminars, workshops, continuing education programs and other changes in the insurance industry
• Ensuring that coding is consistent with all recognized standards
• Complying consistently with facility policies, procedures and practices and ensuring alignment with SEHA facilities policies
• Completing and maintaining regulatory requirements including: licensure and certification and other mandatory training within established time frames

Education

Bachelor's Degree in Health Information Management

Diploma with 3 years of healthcare experience

Master's degree or equivalent in Health Information Management or relevant field

Diploma in relevant field

Job description

SEHA Abu Dhabi seeks a Clinical Coding Officer to review medical records, abstract data, and assign accurate diagnostic and E&M codes in line with established coding guidelines. You will ensure accurate coding, support pre-authorization, and collaborate with clinicians, coders, and billing teams.

Applicants should possess a Bachelor’s in Health Information Management or a Diploma with experience; a Master’s or equivalent is desired.